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would be occupied if one were to attempt to describe all the forms of exhaustion in detail. My object is only to emphasize, as has already been done by Beard, Weir Mitchell, and others, the necessity of rest. Pro- portion is everything in life, and the art of living buy viagra indonesia is to husband our resources, and by distributing our energies to avoid excess in anv direction. Operations on the Impregnated Uterus. buy viagra indonesia Dr. John A. Murphy says that any one who has seen an operation on the impregnated uterus must admit that there is viagra mit paypal less difficulty than in the non-impregnated. buy viagra indonesia This is due to the fact that the vessels are larger, the uterine body is lifted out viagra mit paypal of the pelvis, and the ligaments are more easily reached in the impregnated than in the non-im- pregnated uterus. The danger following operation would be less if more care were taken to remove all of the placenta and membranes. 1 "The Emotions and the Will." June 13, 1896] MEDICAL RECORD. 839 A STUDY OF HIGHLY MINERALIZED THER- MAL WATERS IN THE TREATMENT OF DISEASE, BASED ON EXPERIENCE AT THE GLEXWOOD HOT SPRINGS, COLO- RADO.' By HENRY H. SCHROEDER, M.D., NEW VOKK. Among the people who crowd the decks of the Atlantic liners seeking pleasure abroad are thousands of inva- lids who hope to regain health and vigor at the va- rious European spas, notwithstanding that, as Baruch observes, "this country boasts of mineral springs ri- valling if not surpassing in virtues the most celebrated ones in Europe, and that if more attention were paid to the hygienic and social conditions at our health re- sorts, the results obtained would be fully equal to those observed on the continent.'" At Glenwood you will rind a conscientious and lib- eral management endeavoring to fulfil these condi- tions, and, in addition, certain advantages in the cli- mate and in the character of the springs not viagra mit paypal to be found in any other European viagra mit paypal or American resort. The results obtained buy viagra indonesia while acting there in the capacity of resident physician have encouraged me to give a brief description of these springs, with their physiological and therapeutic action, which may prove useful to the members of the profession at large, as buy viagra indonesia an aid in decid- ing where to send their patients. Hayem believes that the treatment at bathing- resorts is capable of pro- ducing profound and lasting modifications of the gen- eral nutrition, but that the success of the therapeutical effect renders the choice of a suitable place a problem of greit gravity. In order to choose buy viagra indonesia wisely, a thor- ough knowledge of the value of the different re- sorts is indispensable, as well as a clear conception of the diagnosis and a complete knowledge of the patient. While the treatment at every resort is usually ap- plicable to a variety of diverse conditions, it is none tlie less true that it will be found especially appropri- ate to a certain form or phase of some chronic disease. It may not be out of place to suggest that the family physician, having selected a place which from actual knowledge or from the experience of buy viagra indonesia others he deems appropriate to his patient, may render the utmost assis- tance to the resident physician and materially aid in the success of the treatment by sending a full history of the case, the diagnosis, and any personal characteris- tics or idiosyncrasies. Needless to say, he should for the time being surrender the case in toto to the resident physician, and impress the patient with the fact that only by confidence in and obedience to the new medi- cal adviser will he be able to receive the full benefit of the treatment. One of the first questions presenting itself to our minds when called upon to recommend a suitable re- sort is the climate, for the preservation of he.' 1th and the treatment of disease by climate go hand in hand with other curative measures. The medicinal properties of a mineral spring, otherwise of great value, may be so modified by meteorological condi- tions as to be buy viagra indonesia inefficient in the treatment of disease, while the health-giving qualities of a bathing-resort are very materially augmented by the general preva- lence of good weather. Generally speaking, dry air is more bracing than moist. It favors tissue changes, improves the digestion and other functions. Moist air, especially if combined with cold, predisposes to gouty and rheumatic affections; or, if combined with heat, the effect is relaxation the appetite buy viagra indonesia fails and the 1 Read before the American Climatolo^ical Association, at Lakewood, X. J., May 13. 1896. functions of the digestive organs and nervous system become impaired. Glenwood is situated at an altitude of fifty-six hun- dred feet, in a valley in the midst of the foothills of the viagra mit paypal western slope of the Rockies. The dryness of the atmosphere in that region is well known, the annual rainfall, including snow, being only fifteen buy viagra indonesia inches. (In the Alps there is a yearly precipitation of thirty- one inches at the Engadine and thirty-nine inches at Davos-Platz.) The surrounding mountains give pro- tection from high winds and the consequent dust, which are so irritating to invalids sojourning on the eastern slope in close proximity to the great plains. Its shel-